In-Home Assisted Living

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IN-HOME ASSISTED LIVING

Practice address

500 Mills Ave Ste C
Greenville, SC 29605-4280

Phone

(864) 214-3794

Fax

(864) 412-5535

NPI assigned

Jan 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Walter T JamisonNPI 1053892679

Title

Director

Phone

(864) 214-3794

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walter Tennyson Jamison

  • In Home Supportive Care Agency
  • Greenville, SC
  • NPI 1053892679
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1306608336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MILLS AVE STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054280",
            "telephone_number": "864-214-3794",
            "fax_number": "864-412-5535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MILLS AVE STE C",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296054280",
            "telephone_number": "864-214-3794",
            "fax_number": "864-412-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-HOME ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "JAMISON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "864-214-3794"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Greenville, SC
• Providers in Greenville, SC by specialty
• In Home Supportive Care Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.